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General NPI Number Information
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NPI Number | 1164771341
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Entity Type | Individual
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Provider Name | TIMOTHY WILLIAM HOWARTH DMD, MSD
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Gender | Male
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 2005 KNIGHT LANE BLDG H NAVY MEDICINE SUPPORT COMMAND
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City | JACKSONVILLE
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State | FL
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Zip | 32212-0140
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Country | US
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Telephone | 904-542-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ADDISON DR
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-2201
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Country | US
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Telephone | 908-581-6504
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN122649
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 102021
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN122649
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI02515200
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License Number State | NJ
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